A 29-Year-Old African American Woman Is Being Evaluated for Exertional

A 29-year-old African American woman is being evaluated for exertional dyspnea and dry cough.  She has no significant medical history and takes no medications.  The patient works part-time as a bird keeper at a zoo.  She smokes 4 packs daily. CT-guided lung biopsy is performed; findings are shown in the image below. This patient most likely has which of the following conditions?

A) Bronchopulmonary aspergillosis
B) Churg-Strauss syndrome
C) Desquamative interstitial pneumonia
D) Hodgkin lymphoma
E) Idiopathic pulmonary fibrosis
F) Progressive systemic sclerosis
G) Pulmonary alveolar proteinosis
H) Sarcoidosis
I) Small cell lung carcinoma

Correct Answer:

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